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General NPI Number Information
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NPI Number | 1467017558
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Entity Type | Individual
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Provider Name | NEIL P MARTIN PT, DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 734 NORTH LOOP
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City | HOUSTON
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State | TX
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Zip | 77009-1043
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Country | US
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Telephone | 713-868-2766
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Fax |
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Provider Business Mailing Address
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Address Line | 33 STONEHENGE DR
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City | OCEAN
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State | NJ
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Zip | 07712-3326
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Country | US
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Telephone | 908-309-1885
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02220600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP032416T
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License Number State | TX
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